| NPI | 1245447010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 002437) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: VT 098-0000197) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-04-08 |